Grove House

Updated 17 February 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was undertaken by one inspector.

Service and service type

Grove House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Grove House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

There was not a registered manager in post. At the time of our inspection the provider was interviewing candidates for the registered manager post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

During our inspection we observed interactions between people and staff to help us understand their experiences of receiving care and support at the service. We spoke with one person using the service, three staff members, the operations manager and the compliance manager. We also spoke with four family members . We looked at records which included care records for two people, three staff files, medicines records and other records relating to the management of the service.

Updated 17 February 2023

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Grove House is a residential care home providing personal care for up to 8 people. At the time of our inspection 6 people were living at the service.

Right Support:

Staff supported people to have the maximum possible choice, control and independence and they had control over their own lives. Staff worked with people to plan for when they experienced periods of distress so that their freedoms were restricted only if there was no alternative. The service gave people care and support in a safe, clean, well equipped, well-furnished and well-maintained environment. Staff supported people with their safely.

Right Care:

Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it. The service had enough staff to meet people's needs and keep them safe. Staff assessed risks people might face. Where appropriate, staff encouraged and enabled people to take positive risks.

Right Culture:

Staff evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate. Managers recognised when improvements were needed and took action to make things better. The provider had recognised communication had been poor both with people using the service and their relatives. They were making improvements in this area because they understood the importance of enabling people and those important to them to work with staff to develop the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 19/05/2022).

Why we inspected

We received concerns in relation to the environment including the heating and cooking facilities, a lack of experienced staff and concerns about the way the service was being managed. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We found the provider had identified the issues reported to us and was working to make improvements at the service. There was no evidence during this inspection that people had been harmed as a result of the risks identified and the provider had acted to reduce the risk of harm to people. Please see the safe and well-led sections of this full report. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Grove House on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.